FORM 09-PUR 2024 USE OF COERCION FOR LABOR AND SERVICES.pdf
PDF 134 KB Posted
- Attached to
- MyFloridaNet-3 Core Services - ITN
- Solicitation number
- ITN-12980
- Issued by
- Clay County, Leon County, Polk County, Florida
About this file
The document is a Form 09 – PUR 2024 Use of Coercion for Labor and Services for the MyFloridaNet-3 Core Services Invitation to Negotiate (ITN No. DMS-24/25-260) issued by the Florida Department of Management Services. This form is a mandatory affidavit that must be completed by an officer or representative of a nongovernmental entity executing, renewing, or extending a contract with a governmental entity, specifically certifying that the entity does not use coercion for labor or services as defined in section 787.06 of the Florida Statutes.
The form requires the entity to declare under penalties of perjury that they do not use coercion for labor or services, with spaces provided for the entity name, representative/officer's printed name, title, signature, and date. This document appears to be a standard compliance form designed to ensure that contractors participating in state contracts affirm their commitment to ethical labor practices and do not engage in any form of coerced labor or services.
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Text version
ITN No.: DMS-24/25-260 Page 1 of 2 MyFloridaNet-3 Core Services
FORM 09 – PUR 2024 USE OF COERCION FOR LABOR AND SERVICES
4050 Esplanade Way Tallahassee, FL 32399-0950
850-488-2786
Ron DeSantis, Governor Pedro Allende, Secretary
FOR
MyFloridaNetwork-3
ITN NO: DMS-24/25-260
THE STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
ITN No.: DMS-24/25-260 Page 2 of 2 MyFloridaNet-3 Core Services
PUR 2024
Use of Coercion for Labor and Services
Pursuant to section 787.06(13), Florida Statutes, this affidavit must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.
The entity named below does not use coercion for labor or services as defined in section 787.06, Florida Statutes.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Entity Name: ____________________________________
Representative/Officer’s Printed Name: _________________________________
Representative/Officer’s Title: ___________________________________
Signature: ___________________________________ Date: _____________________
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